Organization
ORTHOPAEDIC ASSOCIATES SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL J. HERZWURM M.D. (MEDICAL DIRECTOR)
(706) 396-3700
Entity
Organization
Contact information
Practice address
811 13TH ST, SUITE 21, AUGUSTA, GA 30901-2700
(706) 396-3700
(706) 396-3759
Mailing address
811 13TH ST, SUITE 21, AUGUSTA, GA 30901-2700
(706) 396-3700
(706) 396-3759
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
121262
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435205712A
—
GA
Enumeration date
10/20/2006
Last updated
11/08/2013
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